Unfortunately, you cannot spend a Medicare set aside on anything other than medical treatment. You cannot get any money paid directly to you as a reduction in the Medicare set aside. When you have a Medicare set aside, that is an allocation in your settlement. Your entire settlement dollars could be declared as future medical reimbursement if CMS takes the stance you have attempted to shift liability for your treatment to Medicare. There is no law that prevents you from using that money for other purposes. However, you are required to self attestation every year to CMS and Medicare, to show how you have spent the Medicare set aside. If they ask you to do an attestation and find out you used the set aside for a house, you may be denied Medicare benefits. For more information, go on http://medicaresetasideblog.com/2008/06/09/ask-jen-selfadministration-of-a-medicare-setaside-msa-allocation.aspx. Good luck and remember to press accept so that I may get credit.